- Community Health Systems (Jackson, MS)
- …clinical staff in adhering to best practices and standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... **_Behavioral Health Registered Nurse_** _Position Type: Full..._Competitive salary and comprehensive benefits package._ **Job Summary** The Clinical Coordinator is responsible for coordinating clinical … more
- Humana (Jackson, MS)
- …and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, ... obtain sufficient clinical information. The Utilization Management Behavioral Health Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license,… more
- CVS Health (Jackson, MS)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience.… more
- Community Health Systems (Jackson, MS)
- …Time Off_ + _Competitive salary and comprehensive benefits package._ **Job Summary** The Registered Nurse ( RN ) provides patient-centered care through the ... **_Behavioral Health Registered Nurse_** _Position Type: Full...control, and quality improvement initiatives. **Licenses and Certifications** + RN - Registered Nurse -… more
- Molina Healthcare (Ridgeland, MS)
- … health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... determines who may qualify for care management based on clinical judgment, changes in member health or...management. * Promotes integration of services for members including behavioral health , long-term services and supports (LTSS),… more
- CVS Health (Jackson, MS)
- …Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... management program. + Conduct clinical reviews for adult inpatient behavioral health cases, applying established medical necessity criteria to ensure… more
- Sharecare (Jackson, MS)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their… more
- Highmark Health (Jackson, MS)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... measurable outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Jackson, MS)
- …member panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management ... over specified panel of members by performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address… more